Research Article| Volume 2, ISSUE 3, P168-181, 1971

The management of major accidents

  • P.J. Miller
    Requests for reprints should be addressed to:—P. J. Miller, Esq., M.R.C.S., L.R.C.P., 38 Clifton Road, Rugby, Warwickshire.
    General Practitioner, Rugby, UK
    Search for articles by this author
      This paper is only available as a PDF. To read, Please Download here.
      Major accident plans are produced by various authorities. Most of these plans are reassuringly comprehensive, but it is important that they should be co-ordinated and also work well in practice. Medical needs are paramount; this fact often seems to be forgotten or ignored. Constructive personal relationships in planning and training are necessary to achieve an integrated approach to medical care. If it is to be of high standard, there must be co-operation between services, the use of agreed methods, and the holding of regular rehearsals. The Government should show more interest and encourage research. The Hither Green derailment (1967), like previous disasters, sets problems and teaches lessons. More medical control of major incidents is desirable.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Injury
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Blackdown Air Disaster
        Official Report. West Sussex Constabulary, 1967
        • Boughey W.N.F.
        Accidents, Emergencies and Ambulances: A Survey in Portsmouth.
        Br. med. J. 1968; 1: 369
        • Bowers W.F.
        • Hughes C.W.
        Surgical Philosophy in Mass Casualty Management.
        Thomas, Springfield, Ill.1960
        • Brock P.
        Crash Doctor.
        Wld Med. 1969; 15 (July 1969): 18
        • Collins J.
        Organisation and Function of an Accident Flying Squad.
        Br. med. J. 1966; 2: 578
        • Department of National Health and Welfare
        Management of Human Behaviour in Disaster.
        Department of National Health and Welfare, 1968
        • Dickens C.
        Letters. vol. 2. Chapman & Hall, London1880: 229
      1. Easton, K. C. (1969–70), personal communications.

        • Editorial
        Dealing with Disaster.
        Lancet. 1958; 2: 735
        • Garb S.
        • Eng E.
        Disaster Handbook.
        Springer, New York1964
      2. (Series Chirurgica, Geigy, No. 5)
        • Gögler E.
        Road Accidents.
      3. (M-3288)
        • Gögler E.
        The Heidelberg Scheme.
        in: Rescue on the Road (International Symposium on Road Accident After-care). Documenta Geigy, 1969
        • Hither Green Derailment
        Report. S.E. Metropolitan Regional Hospital Board, 1968
        • Keep V.R.
        Planning for Major Civil Disasters.
        Med. J. Aust. 1966; 2: 618
        • McLaughlin H.L.
        Preliminary Management of Traffic Casualties.
        Am. J. Surg. 1959; 98: 539
        • Miller, P.J.
        Preface (unpublished) to the film Disaster.
      4. (Circular to Regional Hospital Boards, H.M. (54) 51)
        • Ministry of Health
        Medical Arrangements for dealing with Major Accidents.
        • Paschal G.W.
        Changes in Disaster Medicine.
        Penn. med. J. 1968; 71: 90
        • Shaeffer J.
        The Rationale and Principles of Planning for Disasters.
        Surgery Gynec. Obstet. 1959; 108: 488
        • Wells E.J.
        Management of Mass Casualties—Report of a Local Disaster.
        N. Carol. med. J. 1965; 26: 387

      Additional Bibliography

      1. Major Disaster Plans. Scottish Home and Health Department.

        • Miller P.J.
        The Hither Green Derailment: Some Personal Interviews.
        An Unofficial Report and Commentary. 1967;
      2. Police Major Accident Plans. Sussex, Mid-Anglia, Warwickshire, and Rugby.

      3. Regional Hospital Board and Hospital Group Plans. London, S.E. Metropolitan, N. Ireland, Birmingham, and Coventry.